The Effect of COVID-19 on Rib Fracture Patients in Michigan.

Autor:	Eickholtz A; Department of Acute Care Surgery, Corewell Health West, Grand Rapids, MI, USA., Mormol J; Trauma Research Institute, Corewell Health West, Grand Rapids, MI, USA., Kelley J; Department of Acute Care Surgery, Corewell Health West, Grand Rapids, MI, USA., Mangione M; Department of Acute Care Surgery, Corewell Health West, Grand Rapids, MI, USA., Pounders S; Trauma Research Institute, Corewell Health West, Grand Rapids, MI, USA., Groseclose R; Trauma Research Institute, Corewell Health West, Grand Rapids, MI, USA., Lypka M; Scholarly Activity and Scientific Support, Corewell Health, Grand Rapids, MI, USA., Gibson C; Department of Acute Care Surgery, Corewell Health West, Grand Rapids, MI, USA., Chapman A; Department of Acute Care Surgery, Corewell Health West, Grand Rapids, MI, USA., Chadwick C; Department of Acute Care Surgery, Corewell Health West, Grand Rapids, MI, USA., Krech L; Trauma Research Institute, Corewell Health West, Grand Rapids, MI, USA.
Jazyk:	angličtina
Zdroj:	The American surgeon [Am Surg] 2024 Aug; Vol. 90 (8), pp. 2114-2116. Date of Electronic Publication: 2024 Apr 02.
DOI:	10.1177/00031348241241634
Abstrakt:	This study aims to compare outcomes of rib fracture patients with and without COVID-19 in Michigan. Data from the Michigan Trauma Quality Improvement Program (MTQIP) identified adults hospitalized from January 1, 2020, to October 31, 2022, with at least one rib fracture and a completed COVID-19 test on admission. Patients were propensity score matched 1:1 using 20 variables. The primary outcome was hospital length of stay (LOS). Secondary outcomes were mortality, ventilator days, intensive care unit (ICU) LOS, pneumonia, and ventilator-assisted pneumonia (VAP). 13,305 total patients were identified. 232 patients matched into both the COVID+ and COVID- groups. COVID was associated with increased LOS (7 days vs. 5 days, P < 0.001). There were no significant differences between the two groups when evaluating secondary outcomes. Our study indicates that although COVID-19 infection is associated with increased LOS, COVID may not contribute to additional morbidity or mortality in traumatic rib fracture patients. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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